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Annual Report

Cardiovascular Disease Fellowship Program

Wright State University’s medical community is uniquely positioned to provide a cardiovascular medicine training program with clinical and academic excellence. Wright State University cardiology faculty provide care for all levels of cardiac patients, from stable congestive heart failure and ischemic heart disease to decompensated critically ill patients with acute myocardial infarctions and complicated valvular diseases or cardiomyopathies. The four hospitals comprising training sites for cardiovascular fellows provide a wealth of clinical material, including patients of all complexities with age, ethnic and socioeconomic diversity.

Both community hospital sites, Good Samaritan Hospital and Miami Valley Hospital, have been recognized for clinical excellence. In cardiac electrophysiology, fellows will have exposure to all forms of device therapy, radiofrequency ablations and CT reconstruction for cardiovascular anatomy to guide ablative therapies. There are very active cardiovascular surgery programs managing a wide variety of valvular diseases, atherosclerotic cardiovascular disease and congenital heart disease. There is also a very active peripheral vascular interventional program.

Good Samaritan Hospital has received a five-star rating from HealthGrades for the fourth year in a row for myocardial infarction, congestive heart failure and vascular surgery, the latter being ranked best in the state of Ohio. HealthGrades has also ranked Miami Valley Hospital’s cardiac program among the top five hospitals in Ohio and top 5 percent in the United States for overall cardiac services, cardiology services and coronary interventional procedures for the fourth year in a row. Miami Valley Hospital is a Level 1 Trauma Center, bringing in patients of exceeding complexity through a several-county helicopter service. There is also a very active high-risk obstetrics/perinatology program caring for women with congenital heart disease who go through pregnancy and delivery with consultation by the cardiology service.

The Dayton Veterans Affairs Medical Center provides care to a large number of elderly veterans with congestive heart failure and peripheral vascular disorders in the setting of multisytem disease. The patient population at Wright-Patterson Medical Center (WPMC) includes both active duty and retired military personnel and dependents, addressing a variety of acute and chronic cardiovascular disorders.

The Cardiovascular Fellowship at Wright State University is fully accredited by the ACGME (program #1413812294), and is three years in duration. Cardiovascular fellows are involved in multiple, ongoing research projects and publications with faculty during their tenure. Fellows sit for the American College of Cardiology In-Training Exam each year of their fellowship.

Qualified fellowship candidates must have U.S. citizenship or permanent residency. All applications must be submitted through the Electronic Residency Application Service (ERAS). Interviews are scheduled by invitation in September or October. Fellowship positions are filled through the match (NRMP).

Rotations

Core Rotations

Clinical rotations

In concordance with the ACGME requirements for cardiovascular disease fellowship training guidelines, the core clinical rotations are spread over the first two years of training. The third year of training is geared towards subspecialty and elective training.

Noninvasive imaging rotations

Procedural rotations

Electrophysiology rotations include two blocks of clinical electrophysiology in addition to the two blocks of device implantation consult service and eight blocks of core cardiac catheterization laboratory rotations.

There are some differences in our fellowship procedural experience as compared to the national average. There will be no competition during the procedural blocks as there will be only one fellow scheduled for that particular rotation.

Elective rotations

There are four blocks of electives. Three blocks are dedicated for research and one is an away elective. Each fellow should have his/her own research study carried out at one or more of our training sites. The fellows will have some educational funds reserved for research activities for those who are presenting at national or international meetings (travel and accommodation expenses, statistical analysis and poster printing services).

Continuity clinics

For the outpatient clinical experience, each fellow will spend half a day in the general cardiology clinic at the Dayton VA Medical Center on a weekly basis for the first two years. In the last year of training, the fellows will do six months of electrophysiology cardiology clinic and six months of interventional cardiology clinic services at Good Samaritan North outpatient center.

Sample Rotation Schedule*

Block

Start Dates

F-1

F-2

F-3

Block 1

7/1/14

VA NI

MVH NUC

GSH-EP

Block 2

7/29/14

VA-Consult

MVH CICU

CT/MR

Block 3

8/26/14

GSH-DHC

GSH-Cath

VA Cath

Block 4

9/23/14

GSH-PA

VA NI

GSH-Cath

Block 5

10/21/14

MVH CICU

GSH-DHC

MVH Echo

Block 6

11/18/14

VA-Consult

VA NI

GSH -Cath

Block 7

12/16/14

VA Cath

MVH Tele

Research

Block 8

1/13/15

GSH-DHC

VA CHF/ Device

MVH Cath

Block 9

2/10/15

VA NI

Research

GSH-Cath

Block 10

3/10/15

MVH Tele

VA NI

MVH NUC

Block 11

4/7/15

MVH NUC

GSH-Cath

GSH-EP

Block 12

5/5/15

VA NI

Research

Elective

Block 13

6/2/15

WPAF-Base

VA CHF/ Device

VA NI

*Participating hospitals:

Dayton Veterans Affairs Medical Center (VAMC)

Good Samaritan Hospital (GSH)

Miami Valley Hospital (MVH)

Wright-Patterson Medical Center (WPMC)

Sample Conference Schedule

Day

A.M.

P.M.

Monday

EKG/Echo Series

VA Conference

Tuesday

Research Conference*

Wednesday

CTS/Cards Conference

Thursday

Didactic

Friday

Board Review/EP Series

MVH Imaging*

* Monthly Research Conference
* Monthly Miami Valley Hospital Imaging Conference
Monthly M&M — Last Thursday of every month
Monthly Weinberg Lecture Series at Dayton/Moraine Country Club
Quarterly Journal Club

There will be also simulation training on artificial models designed for cardiac catheterization, trans-esophageal echocardiogram, temporary pacer insertion, and echocardiographic-guided pericardiocentesis procedures.

There will be also annual cardiac dissection seminar carried out at GSH medical education building.